Individual
PETER NIEMCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
34718
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z2716
HEALTHNET
AZ
05
—
477100
—
AZ
01
—
5135633
AETNA
—
01
—
674661
CIGNA
—
01
—
AZ0156450
BLUE CROSS BLUE SHIELD
AZ
01
—
P00378324
RAILROAD MEDICARE
—
Enumeration date
09/20/2005
Last updated
05/21/2010
Update your record
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